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期刊信息/Journal information
中华消化内镜杂志
中华医学会南京分会
中华消化内镜杂志

中华医学会南京分会

李兆申

月刊

1007-5232

xhnj@xhnj.com

025-83472831

210003

江苏省南京市紫竹林3号南京医学会

中华消化内镜杂志/Journal Chinese Journal of Digestive EndoscopyCSCD北大核心CSTPCD
查看更多>>1996年8月创刊，中华医学会主办。本刊原刊名《内镜》杂志。办刊宗旨是：贯彻党和国家的卫生工作方针、政策，注重理论与实际相结合，普及与提高相结合，报道国内外消化内镜学的最新进展，努力推动和促进我国消化内镜技术水平不断提高。《中华消化内镜杂志》主要报道内容包括食管镜、胃镜、十二指肠镜、胆囊镜和大肠镜、小肠镜、乙状结肠镜等领先的科研成果，及其设备、技术在国内外的进展，以及临床诊断和治疗经验等。目前的主要栏目有：论著、短篇论著、基础研究、临床报道、技术交流、特殊病例报道及内镜并发症等。读者对象为从事医疗、教学、科研等工作的消化系疾病及消化内镜工作者。
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    自动化软式内镜通道刷洗系统对内镜清洗质量的影响

    王缃兰商任铎刘军黄兴民...
    142-146页
    查看更多>>摘要：目的 评估自动化软式内镜通道刷洗系统在内镜再处理中的效果。 方法 采用随机对照设计，诊疗后的内镜使用随机数字表法分为自动组和手动组，每组200条。自动组内镜清洗时采用自动化软式内镜通道刷洗系统对每个管道刷洗3次，手动组内镜清洗时洗消人员对每个管道常规手动刷洗3次。主要终点指标为内镜清洗质量合格率，次要终点指标为洗消人员刷洗内镜用时。 结果 内镜整体清洗合格率自动组为90.0%（180/200），手动组为81.0%（162/200），差异有统计学意义（χ2=6.534，P=0.011），其中，胃镜清洗合格率自动组明显高于手动组［92.0%（127/138）比81.6%（120/147），χ2=6.658，P=0.010］，肠镜清洗合格率自动组与手动组比较差异无统计学意义［85.5%（53/62）比79.2%（42/53），χ2=0.774，P=0.379］。自动组5条内镜刷洗用时（5.17±0.42）min，手动组为（9.60±0.53）min，自动组用时明显少于手动组（t=92.644，P<0.001）。 结论 自动化软式内镜通道刷洗系统相比手动刷洗，可以提高内镜的清洗合格率，提高洗消人员的工作效率，值得临床推广应用。 Objective To evaluate the effect of automated flexible endoscope channel brushing system (AFECBS) on endoscope reprocessing. Methods A prospective randomized controlled study was conducted. The used endoscopes were divided into automatic group and manual group by random number table method, 200 in each group. In the automatic group, the AFECBS was used to scrub each tube 3 times during endoscope cleaning and in the manual group, scrubbing and disinfection personnel routinely brushed each pipeline for 3 times. The primary end point was the qualified rate of endoscopic cleaning quality in the two groups, and the secondary end point was the time spent by the scrubbing and disinfection personnel on the two groups. Results The qualified rate of overall cleaning in the automatic group was 90.0% (180/200), and in the manual group was 81.0% (162/200). The qualified rate of the automatic group was higher than that of the manual group (χ2=6.534, P=0.011). The qualified rate of gastroscope cleaning in the automatic group was higher than that in the manual group [92.0% (127/138) VS 81.6% (120/147), χ2=6.658, P=0.010]. There was no significant difference in the qualified rate of colonoscope cleaning between the automatic group and the manual group [85.5% (53/62) VS 79.2% (42/53), χ2=0.774, P=0.379]. When the cleaning personnel scoured 5 endoscopes in each of the two groups, the time of the automatic group (5.17±0.42 min) was shorter than that of the manual group (9.60±0.53 min) (t=92.644, P<0.001). Conclusion Compared with manual scrubbing, AFECBS can improve the qualified rate of endoscope cleaning and the work efficiency of scrubbing and disinfection personnel, which is worthy of clinical application.

    内窥镜清洗刷洗微生物监测

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    一种复合刀头多功能内镜下切开刀的动物实验安全性及有效性评估

    洪凡凌丁文斌陈巍峰朱悦...
    147-151页
    查看更多>>摘要：通过动物实验评价一种新型复合刀头的内镜下电切开刀的安全性和有效性。该多功能电切开刀可随时切换Dual刀模式和IT刀模式。制作猪胃组织黏膜病变模型和黏膜下肿瘤模型各30例进行离体实验，选择6只实验用猪各10处胃肠位置进行黏膜病灶切除活体实验。实验组使用多功能电切开刀进行手术，对照组使用Dual刀结合IT刀进行手术，记录手术时间并切取创面观察是否存在肌层损伤。在离体实验中，对胃黏膜病变与胃黏膜下肿瘤病变，实验组手术时间比对照组均缩短［（17.93±2.52）min比（21.07±3.58）min，t=-2.774，P=0.010；（25.73±2.66）min比（31.80±3.78）min，t=-5.081，P<0.001］。在活体实验中，实验组手术时间比对照组缩短［（21.67±4.10）min比（25.36±3.83）min，t=-3.602，P=0.001］，实验组肌层损伤率较低，但差异无统计学意义［3.3%（1/30）比10.0%（3/30），χ²=1.071，P=0.612］。带有复合刀头的多功能内镜下电切开刀在动物体内、体外实验中安全有效。 The safety and efficacy of a compound endoscopic dissection knife were evaluated in animal models. The compound endoscopic dissection knife can readily switch between Dual knife mode and IT knife mode. Vitro experiments were done on 30 mucosal lesion models and 30 submucosal lesion models, respectively, of pig stomach tissue. In vivo experiments, mucosal lesion resection were performed on each 10 lesions of gastrointestinal tract in 6 porcine models. The compound endoscopic dissection knife were used in the experimental group, and Dual knife combined with IT knife were used in the control group. Dissection time were recorded. The wounds were biopsied to evaluate muscle damage. The results of vitro experiment showed the dissection time of mucosal and submucosal lesions in the experiment group was significantly shorter than that in the control group (17.93±2.52 min VS 21.07±3.58 min, t=-2.774, P=0.010 25.73±2.66 min VS 31.80±3.78 min, t=-5.081, P<0.001). The results of vivo experiment showed the dissection time in the experiment group was significantly shorter than that in the control group (21.67±4.10 min VS 25.36±3.83 min,t=-3.602, P=0.001). The muscle damage rate was lower in the experimental group, but the difference was not statistically significant [3.3% (1/30) VS 10.0% (3/30), χ²=1.071, P=0.612]. The compound endoscopic dissection knife is both safe and effective in animal models.

    胃肠内窥镜内镜下切除切开刀动物实验

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    经皮联合经直肠全覆膜自膨式金属支架置入治疗胰腺感染性坏死1例（含视频）

    刘明东沈永华朱浩窦晓坛...
    152-154页
    查看更多>>摘要：胰腺感染性坏死是急性胰腺炎后期重要的死亡原因，各种形式的引流和清创是治疗的关键措施。目前超声内镜引导下经胃壁置入金属支架已广泛应用，远离胃壁时则需要联合经皮穿刺引流。采用经皮联合经直肠置入全覆膜自膨式金属支架的方法成功治愈1例胰腺感染性坏死，为拓展胰腺感染性坏死的内镜介入途径做出了全新的尝试。

    支架胰腺炎,急性坏死性经皮联合经直肠途径

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    倒置型胃幽门腺腺瘤1例

    李义魏志李敏刘倩...
    154-156页
    查看更多>>摘要：胃幽门腺腺瘤是一种少见的胃型腺瘤，多发生在肠化或自身免疫性胃炎背景下，内镜表现不典型，多表现为息肉样或结节样隆起。报道1例倒置型胃幽门腺腺瘤的诊治经过。

    腺瘤幽门腺腺瘤倒置

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    内镜全层切除术治疗十二指肠非壶腹部神经内分泌肿瘤1例（含视频）

    刘芳孙玉立陆友祝凌亭生...
    157-159页
    查看更多>>摘要：长径≤10 mm且浸润深度局限在黏膜下层，影像学提示无局部淋巴结转移和远处转移征象的十二指肠非壶腹部神经内分泌肿瘤，首选内镜下切除。报道1例内镜全层切除术治疗十二指肠非壶腹部神经内分泌肿瘤，手术顺利，患者术后并发迟发性穿孔、腹膜后感染、局限性腹膜炎，经内科保守治疗好转出院。

    神经内分泌瘤十二指肠非壶腹部内镜全层切除术迟发性穿孔腹膜后感染腹膜炎

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    胃底腺黏膜谱系肿瘤的研究现状及展望

    刘美艳谢娇江传燊李达周...
    160-164页
    查看更多>>摘要：胃底腺黏膜谱系肿瘤是一类在组织病理学层面对胃底腺黏膜分化的上皮性肿瘤的疾病统称，可以分为泌酸腺腺瘤、胃底腺型胃癌、胃底腺黏膜型胃腺癌3型。目前关于胃底腺黏膜谱系肿瘤的针对性研究较少，在分类、诊断及治疗方面尚无明确规范。就胃底腺黏膜谱系肿瘤的概念演化及分类、临床特点、内镜下表现、病理学特征、发病机制及治疗进行综述，以期提高胃底腺黏膜谱系肿瘤的诊疗水平。

    胃肿瘤胃腺癌胃底腺型胃癌泌酸腺腺瘤胃底腺黏膜型胃腺癌胃底腺黏膜谱系肿瘤

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    共聚焦激光显微内镜在结直肠疾病中的应用进展

    何新龙龚帅薛寒冰顾文景...
    164-168页
    查看更多>>摘要：共聚焦激光显微内镜作为一种新兴的内镜技术，可以对体内组织进行实时“虚拟活检”，从而获得高质量和高分辨率的组织图像。大量研究表明共聚焦激光显微内镜在结直肠疾病的靶向诊断、严重程度评估、个体化治疗及预测预后等方面具有重要价值。就这项新技术目前在结直肠疾病中的应用价值及未来的发展方向进行综述。

    活体显微镜检查共聚焦激光显微内镜结直肠疾病虚拟活检

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